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Pharmaceutical lobbying under postcommunism: universal or country-specific methods of securing state drug reimbursement in Poland?

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  • OzieraÅ„ski, Piotr
  • McKee, Martin
  • King, Lawrence

Abstract

This paper aims to fill in the gap in research on the effect of pharmaceutical lobbying on drug reimbursement policy, particularly in Poland, a post-communist country. To this end, we conducted in-depth, semi-structured, anonymous, elite interviews in Poland, supplemented by a review of legislation, policy documents, official reports and press articles, as well as observations. Overall, 109 representatives of stakeholders involved in reimbursement policy were interviewed. We identified two key lobbying methods: informal persuasion and third-party endorsements. These methods are coupled with two supplementary ones: lobbying through parliament and ministries, as well as diplomatic pressure. Pharmaceutical lobbying methods in Poland clearly resemble those used in other European countries. What is notable about the Polish case is extensive reliance on informal lobbying and diplomatic pressure.

Suggested Citation

  • OzieraÅ„ski, Piotr & McKee, Martin & King, Lawrence, 2012. "Pharmaceutical lobbying under postcommunism: universal or country-specific methods of securing state drug reimbursement in Poland?," Health Economics, Policy and Law, Cambridge University Press, vol. 7(2), pages 175-195, April.
    • Handle: RePEc:cup:hecopl:v:7:y:2012:i:02:p:175-195_00
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    Cited by:

    1. Csanádi, Marcell & Ozierański, Piotr & Löblová, Olga & King, Lawrence & Kaló, Zoltán & Botz, Lajos, 2019. "Shedding light on the HTA consultancy market: Insights from Poland," Health Policy, Elsevier, vol. 123(12), pages 1237-1243.
    2. Marta Makowska, 2017. "Polish physicians’ cooperation with the pharmaceutical industry and its potential impact on public health," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-17, September.
    3. Ozieranski, Piotr & McKee, Martin & King, Lawrence, 2012. "The politics of health technology assessment in Poland," Health Policy, Elsevier, vol. 108(2), pages 178-193.

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